Medically reviewed by Dr. Tom Biernacki, DPM · Board-Certified Podiatric Surgeon · Last reviewed: April 2026 · Editorial Policy
Quick Answer
Diabetic Neuropathy Treatment in Michigan — Advanced O relates to diabetic foot care — typically caused by reduced circulation + neuropathy. Most patients improve in ongoing daily inspection with conservative care. Same-week appointments in Howell + Bloomfield Twp: (810) 206-1402.
Diabetic Neuropathy Treatment in Michigan — Advanced Options at Balance Foot & Ankle
peripheral artery disease foot care Michigan.– /wp:heading –>Beyond Gabapentin — Advanced Diabetic Neuropathy Care
If you’re living with diabetic neuropathy — that burning, tingling, numbness in your feet that makes every step uncertain — you deserve more than “just take your Gabapentin.” At Balance Foot & Ankle in Bloomfield Hills, we share a building with the Grunberger Diabetes Institute, meaning your diabetes management and your foot care are coordinated under one roof. In Howell, we serve Livingston County patients at 4330 E Grand River Ave. Call (810) 206-1402.
Treatment at Balance Foot & Ankle: Diabetic Foot & Circulation Screening →
Understanding Diabetic Neuropathy
Diabetic peripheral neuropathy is nerve damage caused by prolonged elevation of blood glucose. It affects approximately 50% of people with diabetes and typically begins in the feet — the longest peripheral nerves are affected first. Early symptoms include tingling, burning, and sensitivity to touch. As it progresses, numbness and loss of protective sensation develop, creating dangerous vulnerability to injury. Advanced neuropathy can cause complete sensory loss, balance problems, and predisposes to foot ulcers and amputation.
Why Standard Treatment Often Falls Short
Gabapentin and Lyrica reduce pain signals but don’t address the underlying nerve damage. They’re symptom suppressors, not treatments. Many patients on these medications experience significant sedation, cognitive dulling, and weight gain — and still have inadequate pain control. Duloxetine (Cymbalta) has similar limitations with its own side effect profile. The fundamental problem: standard neuropathy medications don’t repair nerves. Our approach does.
Our Multi-Modal Diabetic Neuropathy Treatment
MLS Laser Therapy: Our FDA-cleared dual-wavelength laser stimulates nerve cell metabolism, reduces neuroinflammation, and promotes microcirculatory improvement in the small vessels supplying peripheral nerves. This directly addresses the nerve tissue, not just the pain signals. 3D Custom Orthotics: Redistribute pressure away from the vulnerable areas of neuropathic feet, preventing the undetected injuries that lead to ulcers. Therapeutic Footwear: Medicare-covered diabetic shoes and inserts designed specifically for neuropathic feet. Supplementation: Alpha-lipoic acid, B-complex vitamins, and vitamin D have the strongest evidence for neuropathy symptom reduction — we guide patients to effective options including Nutricost products. Glycemic Coordination: Working with your endocrinologist (at Grunberger Diabetes Institute for our Bloomfield Hills patients) to optimize blood sugar control — the most impactful intervention for halting neuropathy progression.
Neuropathy and Fall Risk
Neuropathy is the leading foot-related cause of falls in older adults. When feet can’t accurately sense the ground, balance is fundamentally compromised. Our fall prevention program addresses neuropathy from multiple angles — nerve treatment, appropriate footwear, and home safety assessment.
✅ Annual Diabetic Foot Exams — Medicare Covered
✅ MLS Laser Therapy for Neuropathy Pain
✅ Medicare Therapeutic Shoe Program
✅ 3D Custom Orthotics for Diabetic Feet
✅ Home Visits Throughout Livingston & Oakland Counties
📞 (810) 206-1402 | Howell & Bloomfield Hills
Don’t Accept Numbness as Normal
Call (810) 206-1402. Howell and Bloomfield Hills locations. Medicare covers diabetic foot exams and related care. Home visits available for mobility-limited patients throughout Livingston and Oakland Counties.
Comprehensive Diabetic Foot Care in Michigan: Balance Foot & Ankle’s Diabetic Program
At Balance Foot & Ankle, Michigan diabetic patients receive a structured foot care program that addresses the full range of diabetes-related foot risks: neuropathy surveillance, vascular assessment, skin and nail care, ulcer prevention and treatment, therapeutic footwear prescription, and patient education on daily foot care habits. Our diabetic foot care program follows the clinical guidelines established by the American Diabetes Association and the American College of Foot and Ankle Surgeons — incorporating annual comprehensive foot examinations for all diabetic patients, more frequent visits for patients with active neuropathy, vascular compromise, or prior ulceration history, and urgent same-day evaluation for diabetic foot wounds that cannot safely wait for a routine appointment.
Related Treatment Guides
- Diabetic Foot Care & Neuropathy
- Plantar Fasciitis & Heel Pain Treatment
- Custom 3D Orthotics
- Sports Foot & Ankle Injury Treatment
The statistics supporting intensive podiatric co-management for diabetic patients are compelling: regular podiatric care reduces the risk of diabetic foot amputation by up to 85% compared to diabetic patients without podiatric surveillance. For the 37 million Americans living with diabetes — including the substantial diabetic population in Livingston and Oakland counties — this preventive impact is the strongest argument for establishing podiatric care before a problem develops. Michigan diabetic patients who have not yet established podiatric care should call Balance Foot & Ankle at (810) 206-1402 to schedule their first comprehensive diabetic foot examination at our Howell or Bloomfield Hills office. We accept Medicare and most Michigan private insurance plans for diabetic foot care services.
Medical References & Sources
- American Diabetes Association — Foot Complications
- PubMed Research — Diabetic Foot Care
- American Podiatric Medical Association — Diabetic Foot
👟 Dr. Tom Also Recommends
Podiatrist Recommended Shoes 2026: Dr. Tom’s Top Picks for Every Condition
The right footwear can make or break your recovery. Dr. Tom’s complete guide to the best shoes for plantar fasciitis, flat feet, neuropathy, bunions & more — with clinical picks for every foot type.
See Dr. Tom’s Top Shoe Picks →Dr. Tom’s Recommended Products for Diabetic Foot Care
📍 Located in Michigan?
Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.
These are products I personally use and recommend to my patients at Balance Foot & Ankle.
- Dr. Comfort Men’s Paradise Diabetic Shoe — Medicare-covered diabetic shoe with seamless interior — eliminates pressure points that cause diabetic ulcers
- Foundation Wellness DASS Diabetic Socks — 30% commission (Levanta) — non-binding, seamless toe, moisture-wicking diabetic socks protecting neuropathic feet
- Derma Sciences Bordered Gauze Dressings — Non-adherent wound dressing ideal for diabetic foot wound management between podiatry visits
📧 Get Dr. Tom’s Free Lab Test Guide
Discover the 5 lab tests every person over 35 should ask their doctor about — explained in plain English by a board-certified physician.
Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we trust for our own patients.
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Howell Office
3980 E Grand River Ave, Suite 140
Howell, MI 48843
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Bloomfield Hills Office
43700 Woodward Ave, Suite 207
Bloomfield Hills, MI 48302
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Your Board-Certified Podiatrists
Ready to Get Back on Your Feet?
Same-week appointments available at both locations.
Book Your AppointmentMore Podiatrist-Recommended Diabetic Essentials
Diabetic-Approved Walking Shoe
- Tie-Less Lacing System eliminates the need to tie laces. Heel strap enables to adjust the grip around the heel. Cushioning sole with a mild Rocker adds spring to your step. Soft, padded fabric interior with no overlays eliminates irritation.
Orthofeet Sprint — seamless, extra-depth, designed for neuropathic feet.
Seamless Diabetic Sock
- Provides continuous support of the Plantar Fascia by gently stretching the fascia tissue.
- Compression zones promote circulation, reduce impact vibration, boost recovery and strengthen feet.
- Lightweight, seamless design with extra cushioning provides support while still being comfortable.
- Supports the heel/arch and overall foot structure while stabilizing the tendon for better performance
- Made from high quality materials, the socks are moisture wicking and breathable.
OS1st FS4 — non-binding, moisture-wicking, protects fragile diabetic skin.
Recovery Slide for Indoor Wear
- Model ID: 1135061-BTRT
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.

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 conservative care isn’t enough, Dr. Tom Biernacki and the team at Balance Foot & Ankle offer advanced, same-day options — including Diabetic Foot Care Michigan at our Howell and Bloomfield Hills clinics.
Same-day appointments available. 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?
Same-day appointments in Howell + Bloomfield Twp. Most insurance accepted. Dr. Tom Biernacki, DPM & team.
Book Today — Same-Day Appointments Available
Call Now: (810) 206-1402
About Your Care Team at Balance Foot & Ankle
Dr. Tom Biernacki, DPM · Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.
Dr. Carl Jay, DPM · Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.
Dr. Daria Gutkin, DPM, AACFAS · Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.
Locations: 4330 E Grand River Ave, Howell, MI 48843 · 43494 Woodward Ave Suite 208, Bloomfield Twp, MI 48302
Hours: Mon–Fri 8:00 AM – 5:00 PM · (810) 206-1402
Dr. Tom’s Top 3 — The Premium Foot Pain Stack (2026)
If you only buy three things for foot pain, get these. PowerStep + CURREX orthotics correct the underlying foot mechanics, and Dr. Hoy’s pain gel delivers fast topical relief. This is the exact stack Dr. Tom Biernacki, DPM gives his Michigan podiatry patients on visit one — over 10,000 patients have used this exact combination.
Dr. Tom Biernacki, DPM is a board-certified podiatrist + Amazon Associate. Picks shown are products he prescribes to patients at Balance Foot & Ankle Specialists. We earn a commission on qualifying purchases at no extra cost to you. All products independently tested + reviewed for 30+ days minimum. Last verified: April 28, 2026.
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Menthol-based natural pain relief — Dr. Tom’s #1 brand for fast relief without greasy residue. Safe for diabetics + daily use. Cleaner formula than Voltaren or Biofreeze.
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Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon 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.
Frequently Asked Questions
Can a podiatrist help with neuropathy?
What does neuropathy in feet feel like?
Is foot neuropathy reversible?
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