You are in the right place. Dr. Tom Biernacki, DPM, FACFAS — board-certified foot & ankle surgeon with 3,000+ surgeries — explains exactly what diabetic foot self-exam means and what actually works. Call (810) 206-1402 to book an appointment at our Howell or Bloomfield Township office.
Quick answer: Diabetic Foot Self Exam Guide affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.
Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
In This Article
- Your 5-Minute Daily Foot Self-Exam — The Most Important Thing You Can Do
- What You Need
- Step-by-Step Self-Exam
- What to Report Immediately
- Professional Podiatric Care in Michigan: Balance Foot & Ankle’s Comprehensive Services
- More Podiatrist-Recommended Diabetic Essentials
- In-Office Treatment at Balance Foot & Ankle
- Pros & Cons of Conservative Care for diabetic foot care
- Dr. Tom’s Recommended Products for diabetic foot care
- What is Diabetic foot?
Related Conditions
Diabetic Foot Self-Exam — How to Check Your Feet at Home
Your 5-Minute Daily Foot Self-Exam — The Most Important Thing You Can Do
The daily foot self-exam is the single highest-impact habit for preventing diabetic foot complications. At Balance Foot & Ankle, we teach every diabetic patient this exact technique. Call (810) 206-1402. Our Bloomfield Township office shares a building with the Grunberger Diabetes Institute for coordinated diabetic care.
What You Need
Good lighting (a bright LED lamp works better than overhead room lighting), a hand mirror (to see the bottom of your feet without bending), optional magnifying glass for detailed inspection, and a chair with back support to sit comfortably.
Step-by-Step Self-Exam
Top of foot: Inspect the toes (between each toe — this is where fungal infections hide), nail edges (looking for redness, swelling, or any nail growing into skin), top of the foot (look for color changes, swelling, or skin breakdown). Bottom of foot (using mirror): Heel — check for cracks, especially deep ones. Ball of foot — look for calluses with dark centers (blood under callus = potential ulcer). Arch — less common injury site but check anyway. Sides of feet: Check along the edges for any blistering or rubbing from shoes. Between toes: Carefully separate each toe and check for: athlete’s foot (scaling, redness, maceration), blisters, small wounds, or breakdown.
What to Report Immediately
Any new wound, open skin, blister, black area, increasing redness or warmth, unusual swelling in one foot (not both), or drainage. Don’t wait to see if it gets better. Call (810) 206-1402 same day.
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.
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 Township 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, 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.
Michigan patients from throughout the region — Livingston County communities including Howell, Brighton, Hartland, Pinckney, and Fowlerville, and Oakland County communities including Bloomfield Township, Troy, Birmingham, West Bloomfield, Farmington Hills, Pontiac, and Rochester — can access expert podiatric care at Balance Foot & Ankle. Our clinical team is committed to providing the highest standard of foot and ankle care available in Southeast Michigan, from routine preventive care to complex surgical intervention. Call (810) 206-1402 to schedule — we look forward to serving you at our Howell or Bloomfield Township location.
Scheduling with Balance Foot & Ankle is straightforward — call (810) 206-1402 during business hours and our front desk team will find an appointment time that works for your schedule, verify your insurance coverage before the visit, and answer any preliminary questions you have about what to expect. Our Howell office at 4330 E Grand River has convenient parking and is easily accessible from I-96, M-59, and Grand River Avenue. Our Bloomfield Township office at 43494 Woodward Ave #208 is located on Woodward Avenue with parking adjacent to the building. Both locations are accessible by patients throughout Southeast Michigan, and our team looks forward to providing you with the professional, evidence-based podiatric care that you and your feet deserve.
Related Treatment Guides
- Diabetic Foot Care
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
Michigan patients are welcome to call Balance Foot & Ankle at (810) 206-1402 to learn more about the specific services available at our practice, confirm insurance coverage, or schedule a new patient appointment. Our Howell office serves Livingston County patients with convenient access from the Howell, Brighton, Hartland, and Pinckney communities. Our Bloomfield Township office serves Oakland County patients with convenient access from the Birmingham, Troy, West Bloomfield, and Farmington Hills communities. Both offices welcome new patients and provide the same high standard of podiatric care that Livingston and Oakland county residents have come to expect from Balance Foot & Ankle.
Insurance Accepted
BCBS · Medicare · Aetna · Cigna · United Healthcare · HAP · Priority Health · Humana · View All →
👟 Dr. Tom Also Recommends
Podiatrist Recommended Shoes 2026: Dr. Tom’s Top Picks for Every Condition
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Howell Office
4330 E Grand River Ave
Howell, MI 48843
Get Directions →
Bloomfield Township Office
43494 Woodward Ave, #208
Bloomfield Township, MI 48302
Get Directions →
Ready to Get Back on Your Feet?
Book online 24/7 at either office.
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.
Pros & Cons of Conservative Care for diabetic foot care
Advantages
- ✓ Daily inspection prevents amputation
- ✓ Most insurance covers DME
- ✓ Custom orthotics help
Considerations
- ✗ Daily commitment required
- ✗ Slow wound healing
- ✗ Charcot risk if neuropathy
Dr. Tom’s Recommended Products for diabetic foot care
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.
Drew Moonwalker Diabetic Shoe Dr. Tom’s Pick
Best for: Medicare-covered diabetic footwear
Diabetic Compression Socks Dr. Tom’s Pick
Best for: Daily protection + circulation
Ready to Get Back on Your Feet?
Appointments in Howell + Bloomfield Township. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Call Now: (810) 206-1402
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.
More questions patients ask
How do diabetics self-inspect their feet?
Daily diabetic foot self-exam steps: (1) Sit in a well-lit area with a hand mirror; (2) Inspect the tops, sides, and between all toes — look for cuts, blisters, redness, swelling, or skin breaks; (3) Use the mirror to check the sole and heel; (4) Gently feel for areas of warmth (possible infection) or coolness (poor circulation); (5) Check nails for thickening, color change, or ingrown edges; (6) Note any new calluses or hard spots; (7) Check for any areas that were rubbed by shoes. Contact your podiatrist if you find anything abnormal.
What does a healthy diabetic foot look like?
Signs of healthy diabetic feet: skin is intact (no open areas, cracks, or wounds); normal skin color (not red, blue, purple, or dark); even skin temperature throughout the foot; normal nail appearance (not thickened, yellow, or crumbling); no swelling or puffiness; calluses are small and even (not deep or painful); and sensation is present (can feel light touch and temperature). Healthy-appearing feet can still have dangerous neuropathy — always have annual professional testing since the monofilament test detects protective sensation loss before complications develop.
What are common foot problems to watch for in diabetes?
Most important diabetic foot complications to monitor: (1) Foot ulcers — open sores that don't heal (most dangerous — lead to 85% of amputations); (2) Peripheral neuropathy — numbness, tingling, burning, weakness; (3) Peripheral arterial disease — cold feet, leg cramps, slow wound healing; (4) Charcot foot — sudden painless swelling and redness of the foot in someone with neuropathy; (5) Infections — any wound showing redness, warmth, or discharge; (6) Onychomycosis — fungal toenail infections that can spread to skin and become infected. Report any of these to your podiatrist immediately.
What should I do if I find a wound on my diabetic foot?
If you find a wound during self-exam: (1) Do not panic, but do take it seriously; (2) Call Balance Foot & Ankle (810-206-1402) for same-day evaluation — do not wait to see if it heals on its own; (3) Cover loosely with a clean bandage; (4) Keep weight off the foot as much as possible until you're evaluated; (5) Check your blood sugar — infection elevates blood sugar; (6) Go to emergency room if you have fever, rapidly spreading redness, or the wound has black edges. A wound that seems minor to you may be medically serious given the complications of diabetes and neuropathy.
How should Michigan diabetics perform a daily foot self-exam at home?
Balance Foot & Ankle teaches Michigan diabetics to: inspect all skin surfaces (use a mirror for the sole), check between all toes, look for cuts, blisters, color changes, swelling, calluses, or nail changes, feel for temperature differences between feet, and note any new pain or sensory changes. Report anything abnormal immediately to (810) 206-1402.
What tools does Balance Foot & Ankle recommend for diabetic foot self-exam at home?
Balance Foot & Ankle recommends a long-handled mirror (or smartphone for photos), good lighting, a magnifying glass if needed, and a partner's help for areas that are hard to see. Michigan diabetics should inspect feet at the same time each day — after bathing is ideal. Call (810) 206-1402 for a complete self-exam education session.
What should Michigan diabetics report immediately after a foot self-exam?
Contact Balance Foot & Ankle at (810) 206-1402 same-day for: any new open wound or blister, increased redness or warmth, darkening or discoloration of a toe, new swelling in one foot only, or any foot that feels distinctly different from the other. Never wait for your next scheduled appointment for these findings.
Why can't Michigan diabetics rely on pain to detect foot problems?
Diabetic peripheral neuropathy damages the sensory nerves that signal pain. Michigan diabetics with neuropathy often have no pain from serious wounds — a phenomenon called 'painless injury.' Daily visual foot inspection is essential because you cannot rely on pain as a warning. Balance Foot & Ankle emphasizes this education at every visit. Call (810) 206-1402.
How does Balance Foot & Ankle teach Michigan diabetics to check their foot circulation at home?
Balance Foot & Ankle teaches Michigan diabetics to assess foot circulation by checking for skin color (should be normal skin tone, not pale or blue), skin temperature (feet should feel similarly warm), and capillary refill (press toenail to blanch, release — should repink in 2 seconds). Abnormal findings require prompt evaluation at (810) 206-1402.
How often should diabetics check their feet?
Daily self-exams plus professional exams annually (or every 3-6 months for neuropathy/PAD patients). Dr. Biernacki provides comprehensive diabetic foot care programs.
Why do diabetics have foot problems?
Diabetes causes nerve damage, reduced blood flow, and impaired immunity. Injuries go unnoticed and heal slowly. ~15% of diabetics develop ulcers. Prevention through regular podiatric care is essential.
What are signs of diabetic neuropathy?
Tingling, burning, numbness starting in toes, sensitivity to touch, muscle weakness, balance problems. Schedule evaluation at 810-206-1402 for nerve testing and management.
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.