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Diabetic Neuropathy Treatment in Michigan — Advanced Options at Balance Foot & Ankle

Diabetic Neuropathy Treatment in Michigan — Advanced Options at Balance Foot & Ankle

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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.

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.

Treatment at Balance Foot & Ankle: Diabetic Foot & Circulation Screening →

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.

⚡ Diabetic Foot Care at Balance Foot & Ankle
✅ 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

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

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📍 Located in Michigan?

Our board-certified podiatrists treat this condition at two convenient locations. Same-day appointments often available.

Book Now → (810) 206-1402

Affiliate Disclosure: This page contains affiliate links to products we recommend. If you purchase through these links, Balance Foot & Ankle may earn a small commission at no additional cost to you. We only recommend products we use with our patients.

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

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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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Insurance Accepted

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

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Same-week appointments available at both locations.

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(810) 206-1402

Recommended Products for Peripheral Neuropathy
Products personally used and recommended by Dr. Tom Biernacki, DPM. All available on Amazon.
Topical menthol and arnica formula that helps with neuropathic tingling and burning.
Best for: Burning, tingling, nerve pain
Graduated compression improves blood flow to feet, supporting nerve health.
Best for: Diabetic neuropathy, circulation support
Cushioned insole protects numb feet from pressure injuries.
Best for: Daily foot protection
These products work best with professional treatment. Book an appointment with Dr. Tom for a personalized treatment plan.
Complete Recovery Protocol
Dr. Tom's Neuropathy Care Kit
Our recommended daily care products for peripheral neuropathy management.
~$18
~$25
~$35
Kit Total: ~$78 $110+ for comparable products
All available on Amazon with free Prime shipping

Frequently Asked Questions

Can a podiatrist help with neuropathy?
Yes. Podiatrists specialize in foot neuropathy management including nerve testing, diabetic foot monitoring, custom orthotics for protection, and therapies like MLS laser treatment to improve nerve function.
What does neuropathy in feet feel like?
Peripheral neuropathy typically causes tingling, numbness, burning, or sharp shooting pain in the feet. Symptoms often start in the toes and progress upward. Some patients describe it as walking on pins and needles.
Is foot neuropathy reversible?
It depends on the cause. Neuropathy from vitamin deficiencies or medication side effects may be reversible. Diabetic neuropathy is typically managed rather than reversed, but early treatment can slow progression and reduce symptoms significantly.
Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.